| NPI | 1972620060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D CLARKE President 317-848-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01034548A) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-10-20 |